Real Estate Deed

Real Estate – Contract for Deed Questionnaire

Transferee’s full name:

Street address: City: State: Zip: County:

Birth date: Social Security Number:

Home phone: Work phone: ext. Cell/pager: E-mail:

Transferor’s full name:

Street address: City: State: Zip: County:

Birth date: Social Security Number:

Home phone: Work phone: ext. Cell/pager: E-mail:

Mailing address of property to be transferred (include county):

Legal description of property to be transferred:

Square Footage/Acreage: Condo unit number if applicable:

Type of transfer:

Ordinary sale Inheritance Gift Foreclosure Tax sale Confirmatory deed Other

Residential Non-Residential

Title shall be conveyed to Buyer, if more than one as joint tenants with rights of survivorship, tenants in common, Other:

Total purchase price/consideration $

Payment terms:

Down payment:

Number of payments:

Date of first payment:

Date of final payment:

Amount of payment:

Day of month payment due:

Interest rate:

Grace period before late penalty:

Late payment fee/interest rate:

Will you use an escrow account? Yes No If yes, name and address of escrow agent:

What do you want to happen if the payment terms of the contract aren’t complied with?

Is the property being conveyed only a part of an existing property? Yes No

List all improvements being conveyed:

Retained items:

Property Condition:

Warranty:

Yearly Taxes:

Property information:

Please disclose any defects on the property:

In whose name is the property now titled?

Name: Address and Phone Number: Relationship to other owners:

How ownership acquired: Form of Ownership:

Name: Address and Phone Number: Relationship to other owners:

How ownership acquired: Form of Ownership:

Name: Address and Phone Number: Relationship to other owners:

How ownership acquired: Form of ownership:

Do you know of anyone who has a future interest of ownership? Yes No If yes, describe:

Are there any rights of way/easements on the property? Yes No If yes, describe:

Who is to pay insurance associated with the property until the transfer is completed?

What type of insurance will be maintained until the property is transferred to the transferee?

Flood Fire windstorm, and hazard Liability and hazard Content

Who is to pay property taxes associated with the property until the transfer is completed?

Who is to reside on the property until the transfer is completed?

List all existing mortgages on property:

List all existing claims on property:

Does the transferor know of the existence of wetlands, shoreland, or flood plain on or affecting the real property? Yes No If yes, please describe:

Does the transferor know of any hazardous substances or petroleum products having been placed, stored, or released from or on the real property by any person in violation of any law, nor of any underground storage tanks having been located on the real property at any time? Yes No If yes, please describe:

Costs are to be paid as follows:

Terms of payment are to be:

CASH SALE: This contract is not contingent on financing.

OWNER FINANCING: Seller agrees to finance dollars of the purchase price pursuant to a promissory note from Buyer to Seller of $ , bearing % interest per annum, payable over a term of years with even monthly payments, secured by a deed of trust or mortgage lien with the first payment to begin on the day of

NEW LOAN OR ASSUMPTION: This contract is contingent on Buyer obtaining financing.

Seller shall deliver possession of the Property to Buyer at closing. Title shall be conveyed to Buyer, if more than one as .

* 50/50 between buyer and seller.

The closing of the sale will be on or before:

Mortgage company: Mortgage contact name and phone number:

Has a survey been conducted? Yes No

May this contract be assigned? Yes No If yes, by transferee and/or transferor

Limitations on assignment, if any:

May the transferee prepay without penalty the whole or any part of the balance remaining unpaid on this contract at any time before the due date? Yes No